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GLEN PARK AT GLENDALE - MARIPOSA ST
NPI 1417132812
Assisted Living Facility in Glendale, CA

Active since January 03, 2008
1220 MARIPOSA ST, GLEN PARK WEST RETIREMENT COMMUNITY INC, GLENDALE, CA 91205(818) 242-9000(818) 242-3972 Get Directions Write a Review

NPPES record last updated: January 8, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Glen Park At Glendale - Mariposa St NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN PARK AT GLENDALE - MARIPOSA ST (NPI 1417132812) is a healthcare organization registered as an assisted living facility in Glendale, California and active in the NPI registry since January 2008. The organization lists Tillman Nmn Pink, President, as its authorized official.

NPPES Registry Identity

NPI1417132812
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGLEN PARK AT GLENDALE - MARIPOSA ST
Location Address1220 MARIPOSA ST, GLEN PARK WEST RETIREMENT COMMUNITY INCGlendale, CA 91205-3245
Mailing Address1220 Mariposa St, Glen Park West Retirement Community IncGlendale, CA 91205-3245 · (818) 242-9000 · Fax (818) 242-3972
Phone(818) 242-9000
Fax(818) 242-3972
Organization SubpartNo
Authorized OfficialTillman Nmn PinkPresident · (818) 242-9000
Enumeration DateJanuary 3, 2008
Last NPPES UpdateJanuary 8, 2015
✔ NPI 1417132812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CA · 191222675
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1220 MARIPOSA ST, Glendale, CA 91205
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLEN-PARK WEST RETIREMENT COMMUNITY, INC
Assisted Living Facility
1220 MARIPOSA ST
GLENDALE, CA 91205
Los Angeles County (818) 242-9000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Park At Glendale - Mariposa St's NPI number?

The NPI number for Glen Park At Glendale - Mariposa St is 1417132812. It was assigned to this organization in the NPPES registry on January 3, 2008.

Where is Glen Park At Glendale - Mariposa St located?

Glen Park At Glendale - Mariposa St is located at 1220 Mariposa St Glen Park West Retirement Community Inc, Glendale, CA 91205. The listed phone number is (818) 242-9000.

What is Glen Park At Glendale - Mariposa St's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Glen Park At Glendale - Mariposa St was last updated on January 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.